Organization
LANGDON DRUG INC
Active
Other names
Langdon Community Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYLE LUTMAN PHARMD (OWNER/MANAGER)
(701) 256-3330
Entity
Organization
Contact information
Practice address
805 3RD ST, LANGDON, ND 58249-2624
(701) 256-3330
(701) 256-5720
Mailing address
805 3RD ST, LANGDON, ND 58249-2624
(701) 256-3330
(701) 256-5720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
509
ND
3336C0003X
Community/Retail Pharmacy
Primary
PHARM509
ND
3336L0003X
Long Term Care Pharmacy
509
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454261
—
ND
01
—
3503756
NABP
ND
Enumeration date
06/03/2006
Last updated
08/06/2020
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